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Leroy Velasco, DPT

Physical Therapist in Encino, CA. Individual provider (NPI-1).

NPI number1982192969
StatusActive
Last updated in NPPESApr 25, 2018

Details

NPI
1982192969
Entity type
Individual (NPI-1)
Name
Leroy Velasco
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2018
Last updated
Apr 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT294383CAYes

Practice location

17207 Ventura Blvd Ste 4
Encino, CA 91316-4035

Phone 818-386-8070 · Fax 818-386-8071

Mailing address

17207 Ventura Blvd Ste 4
Encino, CA 91316-4035

Phone 818-386-8070 · Fax 818-386-8071

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